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RER (09-0342)51805 Avenida Madero 09-0342 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: =09-00000342 Property Address: =51805-AVENIDA MADERO APN: 773-153-015-3 -000000- Application description: REMODEL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 25000 Applicant: Td 144Q" Architect or Engineer: /- lA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: D)\ SUSAN GONZALEZ C `" 51805 AVENIDA MADER LA QUINTA, CA 9225 Contractor: r, ro PARKER CONSTRUCTION CO, 72870 TAMARISK STREET tee. PALM DESERT, CA 92260 (760)340-2482 Lic. No.: 828575 Date: 4/15/09 ------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION - ----------------------------------------------— . WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busing and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: 13 License No.: 828575 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is /Date: antractor: issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation - UILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury t I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so a ecome subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed, pursuant to the provisions of the Contractor's State and agree that, if I sh Id bec a subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Cod II forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: a: icant: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAIL RE TO SECURE WORKE 'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PE LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO TH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ I I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: 11 Lender's Address: LQPERMIT APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building cons uction, and hereby authorize representatives of this county to enter upon the above-mentioned prope r in ction purposes. te: 1 Si ature (Applicant or Agent): Application Number . . . . . 09-00000342 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 252.00 Plan Check Fee 163.80 Issue Date . . . . Valuation . . . . 25000 Expiration Date 10/12/09 Qty Unit Charge Per Extension BASE FEE 45.00 23.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 207.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/12/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 EA ELEC MISC ---------------------------------------------------------------------------- 11.00 Permit . . . MECHANICAL Additional desc . . Permit Fee . . . . 19.50 Plan Check Fee 4.88 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/12/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA MECH VENT ---------------------------------------------------------------------------- INST/ DUCT ALT 4.50 Special Notes and Comments - REPAIR FIRE DAMAGE - INCLUDES 41X 8' ROOF PATCH, NEW ELECTRIC METER, PLUGS,SWITCHES, INSULATION, A/C DUCTING, DRYWALL & PLUMBING FIXTURES ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE 16.38 STRONG MOTION (SMI) - RES 2.50 Fee summary Charged Paid ----------------- Credited Due -------------------- Permit Fee Total 297.50 -------------------- .00 .00 297.50 Plan Check Total 175.18 .00 .00 175.18 Other Fee Total 18.88 .00 .00 18.88 Grand Total 491.56 .00 .00 491.56 LQPERMIT SUSAN GONZALEZ 51-805 AVIENDA MEDERO LA QUINTA, CA. 92253 (1) ROOF PATCH: 4X8 SECTION OF SHINGLE ROOF WAS DAMAGED IN FIRE AND HAS TO BE REPAIRED. (2) ELECTRICAL: NEED METER PUT BACK IN AFTER ELECTRICAN INSPECTS WIRING. INSTALL NEW PLUGS/SWITCHES THROUGHOUT. (3) INSULATION: (4) A/C DUCTING: REDUCT WHOLE HOUSE. (5) DRYWALL: (6) PLUMBING: FINISH PLUMBING. INSTALL NEW PLUMBING FIXTURES. �i Bin # City of La Quinta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet ' Permit # ©a Project Address: So 5 Owner's Name: A. P. Number: Address: O Aviwt4tv' Legal Description: Contractor: (L e City, ST, Zip: 'Tog .::;.;.:»!»•:><:>:::>:<:............. . Telephone: _.%`<':::;:f:%:l:::>»:s>::::;:><:>• > Address: ` ` d kCkOM Project Description: ` City, ST, Zip: QCt C : Gla T ele h0 ne ...........:.......:.........: State Lic. #: $rj" CityLic. #: . Arch., Engr., Designer:. l Address: City., ST, Zip: Telephone: .......... :,:«.: " :..:::>:......;:::.::::.,. "'`{'" {`#;"<»;>'>'<' ."..`'>' t%s <•>,:>'.«>.' Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Caics. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up. S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3" Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees